Analysis on feasibility of extended hepatectomy for huge hepatic carcinoma

VernacularTitle:极限量肝切除治疗巨大肝癌可行性分析
Author: Xiufeng NIU ; Jialian NI ; Baozhen ZHENG ; Xiaoming LIU ; Luyue LIU
Publication Type:Journal Article
Keywords: Liver neoplasms; Hepatectomy; Feasibility studies
From: Chinese Journal of Postgraduates of Medicine 2012;35(8):18-20
CountryChina
Language:Chinese
Abstract: ObjectiveTo investigate the feasibility of extended hepatectomy for huge hepatic carcinoma.MethodsA retrospective analysis was made on the clinical data of 28 patients with huge hepatic carcinoma who underwent extended hepatectomy from December 2006 to June 2011.Twenty-two cases were Child-Pugh grade A,6 cases were Child-Pugh grade B,19 cases were indocyanine green retention at 15 minutes (ICGR15)≤10％,5 cases were 10％＜ ICGR15 ≤15％,4 cases were 15％＜ ICGR15 ≤20％.ResultsThe operative death rate was 7.1％ (2/28) with Child-Pugh grade B,15％＜ ICGR15 ≤20％ and liver resection volume 60％-70％.Postoperative complications were found on 15 cases,but all recovered after treatment.ConclusionExtended hepatectomy for huge hepatic carcinoma can be feasible in the patients with enough reserve of the liver function provided.